Individual
MRS. AMBER TULLIS DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3076 OLD MARKSVILLE HWY, PINEVILLE, LA 71360-6202
(318) 447-4882
Mailing address
3076 OLD MARKSVILLE HWY, PINEVILLE, LA 71360-6202
(318) 447-4882
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
234052
LA
Other
Enumeration date
03/04/2022
Last updated
06/21/2024
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